Individual
AMANDA REGINA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 W WASHINGTON BLVD, LOS ANGELES, CA 90016-1331
(323) 933-9186
Mailing address
909 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
(310) 450-2024
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
722976
CA
Other
Enumeration date
05/25/2023
Last updated
06/15/2023
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